Business Note Worksheet
Seller's Name:
Date:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
How did you hear of us?
Seller's Phone Number:
Fax Number:
Preliminary Question
Down Payment >=30% Sale Price:
Yes
No
Credit Score >=625:
Yes
No
Seasoning >=4 payments made:
Yes
No
Personal Guarantee:
Yes
No
Business Note Information
Type of Business:
Asset Value Breakdown:
Equipment
Inventory
Goodwill
Is Operation a Franchise?
Yes
No
If yes, has franchisor committed to cooperate with note buyer in event of foreclosure/resale?
Yes
No
Street Address (if available):
City:
State:
Select Here
Alabama
Alaska
Arizona
Arkansas
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
County:
How Long in Business at this location?
Business Location is:
Owned by Payor
Leased by Payor
Expires:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Give Terms of any Lease Renewal Options:
What Qualifications does the Payor have to operate this Business?
If Payor is a Corporation, is there also a creditworthy individual liable for payments?
No
Yes
If Yes, Name
Historical Information
Date of Sale:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
Year
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Selling Price:
Down Payment:
First Lien:
Second Lien:
Note Information
Date of Note:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2000
2001
2002
2003
2004
2005
Amount:
Terms of Month:
A
B
Payment Amount:
Balloon Amount:
Balloon Date:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Interest:
Due Date First Payment:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
# of Payments Paid:
# of Payments Left:
Next Payment Due:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Balance:
Description of Business/Location & Area
Payor/Payment Information (employment information, payment Record, Payor SS#, etc)
Pertinent Documents
Note:
Yes
No
Security Instrument:
Yes
No
Title:
Yes
No
Sales Contract:
Yes
No
Payor Credit Report:
Yes
No
Closing Statement:
Yes
No
Bill of Sale:
Yes
No
Insurance:
Yes
No
Lease:
Yes
No
Franchise Agreement:
Yes
No
UCC-1:
Yes
No
Jerry Remien, Chief Executive Officer
720 Bonnie Lane, Elk Grove Village, Illinois 60007
TEL 800.949.0888 FAX 847.806.0992
info@mortgagebuyers1.com
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